| Richard L Fogel Dds Ms Inc | |
|
147 E Bridge St Elyria OH 44035-5218 | |
| (440) 323-2665 | |
| Not Available |
| Full Name | Richard L Fogel Dds Ms Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 147 E Bridge St, Elyria, Ohio |
| Authorized Official Name and Position | Richard L Fogel (PRESIDENT) |
| Authorized Official Contact | 4403232665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Fogel Dds Ms Inc 147 E Bridge St Elyria OH 44035-5218 Ph: (440) 323-2665 | Richard L Fogel Dds Ms Inc 147 E Bridge St Elyria OH 44035-5218 Ph: (440) 323-2665 |
| NPI Number | 1104987163 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104987163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30-015746 (Ohio) | Primary |
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